| NPI | 1033452990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-10206) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-10206) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-07-03 |